DIAGNOSING ASHERMAN’S SYNDROME
When it comes to diagnosing Asherman’s syndrome it important to understand that the adhesions are generally not effectively seen on a standard CT Scan. It is important to obtain specialist scans. You want to know the extent of the adhesions so that you can obtain appropriate treatment.
CT scans do not provide the detailed soft-tissue resolution needed to visualise the thin, delicate scar tissue inside the womb.
When experiencing symptoms like reduced or absent periods, recurrent pregnancy loss, or pelvic pain after a uterine procedure (such as a D&C), your doctor should rely on more specialised imaging.
For a definitive and clear diagnosis a hysteroscopy should be used. A thin camera is inserted through the cervix, allowing the doctor to directly visualise the inside of the uterus and map the exact severity of the adhesions. Treatment is also delivered by hysteroscopy.
A Saline Infusion Sonogram (SIS) also known as a sonohysterogram, test uses ultrasound while sterile saline is used to expand the uterine cavity. This makes adhesions and collapsed areas much easier to see.
Hysterosalpingogram (HSG) is an X-ray that uses a contrast dye to outline the uterine cavity and fallopian tubes. Adhesions typically appear as irregular shapes or blocked areas where the dye cannot flow.
A 3D Pelvic Ultrasound offers high-resolution ultrasound which can identify scar tissue bands or interrupted endometrial lines.
Make sure you are referred to a gynaecologist or reproductive endocrinologist. This will ensure that you get the most accurate evaluation and avoid missing mild adhesions.
Call us today
If you’re ready to discuss your situation or have any questions please contact Dr Victoria Handley today. Don’t suffer in silence. Call FREE on 0800 470 2009 or email vhandley@handleylaw.co.uk